Organization
LIGHTHOUSE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI HYDE LCPC (THERAPIST)
(208) 541-4295
Entity
Organization
Contact information
Practice address
1075 S UTAH AVE STE 356, IDAHO FALLS, ID 83402-3334
(208) 541-4295
Mailing address
34 N 3600 E, RIGBY, ID 83442-5638
(208) 541-4295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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